Brix Enterprise
Order Form

Please complete form below ... fill in all information.
Failure to fill in form completely will delay your order.
Then click the print button in your web browser.
When printed send order with Payment by Money Order payable to BRIX.
At the below address.

Sorry but due to the current banking costs/business climate we can no-longer continue Credit Card Service.
All sales by Money Order Only .
We are trying to find affordable alternatives for Credit Card Services.
In the meantime we want to continue to be your place for
ESKA OUTBOARD SOLUTIONS
Thank You.

Brix Enterprise
2721 Hwy 23
Brook Park, MN 55007
(320) 209-4204
U.S.A.

Order Form
*E-Mail:
*Name:
*Address:
More Address:
*City:
*State/Provance:
Other State/Country:
*Zip Code:
*Country:
*Telephone:
*Motor Make:
*Motor HP:
*Motor Year:
*Model Number:
Serial Number:
Needed for Mercury Motors only.

Enter any other questions or information here:


Please Enter The Items You Wish To Order.

*Item Name *Stock Number *Price Ea. *Qty. *Total Cost
Minimum Shipping Charges.
Continental U.S.A. $12.00
Priorty Mail Minumum Canada/Mexico $21.00
Over Seas Locations $25.00 +
Maximum 1 Lb. (16 oz.)
Additional cost of $3.00 per pound may be incurred for packages over 1 lb.
Most packages shipped United States Postal Priority Mail 3 Day Service
or Global Priority Mail where available.
You may also choose 1st Class if Available in your area. Cost is not always less. 		Select Shipping Cost
(MINIMUM COST)
Please Make Sure Form Is Completed Accurately. Thank You. *Grand Total

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